Provider Demographics
NPI:1699401034
Name:J & T FAMILY INC, LLC
Entity Type:Organization
Organization Name:J & T FAMILY INC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANAYE
Authorized Official - Middle Name:T
Authorized Official - Last Name:VILLAFRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-321-5846
Mailing Address - Street 1:5660 BALSAM ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-1106
Mailing Address - Country:US
Mailing Address - Phone:702-321-5846
Mailing Address - Fax:
Practice Address - Street 1:5660 BALSAM ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1106
Practice Address - Country:US
Practice Address - Phone:702-321-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health